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[Forward about long duration anesthesia (author's transl)]

Anesthesie, Analgesie, Reanimation

|January 1, 1980

Summary

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Longer anesthesia and surgical operations increase risks of complications like cellular hypoxia. Pre-operative planning and staff rotation are crucial for managing risks in extended procedures.

Area of Science:

Anesthesiology and Perioperative Medicine
Surgical Sciences

Context:

Surgical and anesthesia durations have significantly increased over recent decades.
Extended procedures can lead to unapparent pathophysiological phenomena and complications.

Purpose:

To identify physiological abnormalities associated with prolonged anesthesia and surgery.
To propose preventative measures for complications arising from long operations.

Summary:

Anesthesia for very long duration operations (arbitrarily set at eight hours) carries risks, including cellular hypoxia and metabolic deviations.
Both anesthetic and surgical factors contribute to these risks.
Pre-operative collaboration among medical, anesthesiological, and surgical teams is essential for risk assessment.

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Impact:

Highlights the need for proactive risk management in extended surgical procedures.
Emphasizes the importance of staff rotation in high-responsibility settings to mitigate risks associated with prolonged operations.